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General NPI Number Information
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NPI Number | 1467804898
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Entity Type | Organization
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Legal Business Name | DR WILLIAM J ESPINOZA, PA
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 12268 TAMIAMI TRL E STE 301
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City | NAPLES
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State | FL
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Zip | 34113-7946
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Country | US
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Telephone | 239-228-5138
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Fax | 239-228-5245
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Provider Business Mailing Address
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Address Line | 12268 TAMIAMI TRL E STE 301
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City | NAPLES
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State | FL
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Zip | 34113-7946
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Country | US
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Telephone | 239-228-5138
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Fax | 239-228-5245
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Authorized Official
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Title or Position | MANAGER
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Name | JOSE R DUENAS
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Credential |
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Telephone | 305-423-5269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME22082
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License Number State | FL
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